Wucherer Katja L, Ober Christopher P, Conzemius Michael G
Veterinary Medical Center, Department of Clinical Sciences, University of Minnesota, USA.
Vet Radiol Ultrasound. 2012 Jan-Feb;53(1):57-63. doi: 10.1111/j.1740-8261.2011.01867.x.
Commonly used diagnostic tools used to evaluate articular cartilage lack the sensitivity, specificity, and objectivity to measure early changes associated with osteoarthritis. Two techniques using magnetic resonance (MR) imaging have been developed to detect the biology of articular cartilage are delayed gadolinium-enhanced MR imaging of cartilage (dGEMRIC) and T2 mapping. Both techniques have been validated and are used to study the degenerative and adaptive nature of articular cartilage in people. The use of these techniques as a diagnostic tool in dogs has not been well described. We evaluated articular cartilage in the region of the medial coronoid process (MCP) of six healthy dogs free of detectable orthopedic disease using both MR imaging techniques. Histology and proteoglycan (PG) content of the MCP were used to confirm normal articular cartilage. All dogs had ground reaction forces consistent with normal function. Mean dGEMRIC index (T1 value) was 400 +/- 47 ms and mean T2 value was 56 +/- 8 ms. Intra- and interobserver variability was low. dGEMRIC and T2 values for normal cartilage in the elbow of the dog can be generated reproducibly using 3T MR imaging. Using these techniques as objective outcome measures for clinical studies in dogs with OA conditions should help delineate the efficacy of some disease interventions.
用于评估关节软骨的常用诊断工具缺乏测量与骨关节炎相关早期变化的敏感性、特异性和客观性。已经开发出两种利用磁共振(MR)成像的技术来检测关节软骨生物学特性,即延迟钆增强磁共振成像(dGEMRIC)和T2映射。这两种技术均已得到验证,并用于研究人类关节软骨的退变和适应性本质。这些技术作为犬类诊断工具的应用尚未得到充分描述。我们使用这两种MR成像技术评估了6只无明显骨科疾病的健康犬的内侧冠状突(MCP)区域的关节软骨。MCP的组织学和蛋白聚糖(PG)含量用于确认关节软骨正常。所有犬的地面反作用力均与正常功能一致。平均dGEMRIC指数(T1值)为400±47毫秒,平均T2值为56±8毫秒。观察者内和观察者间的变异性较低。使用3T MR成像可重复性地得出犬肘部正常软骨的dGEMRIC和T2值。将这些技术用作患有骨关节炎病症犬类临床研究的客观结果指标,应有助于明确某些疾病干预措施的疗效。